VLMC-AFPHSC PBO Practical Exam 2019 Cases – April 12, 2019

GENERAL DIAGNOSIS INDICATION PROCEDURE EXAMINEE

DATA
1. DA 192889 Acute Achilles Tendon 1.Acute tendon rupture Achilles Tendon BASCOS
44/M/TSG/PA Rupture, Right Secondary 2. for early return of Repair, Right
DOI: 8 March to Sports Related Injury Military activities
2019
2. CC 193666 Fracture, Closed, 1.Displaced radial shaft ORIF (Plate), Dr. Vicente can also do
45/M/TSG/PA Complete, Displaced, fracture Radius, Right this as part of the
surgical service but not
DOI: 24 Mar Transverse, Junction, 2. loss of more than 50% part of the Practicals as
2019 Middle 3rd to Distal 3rd, Cortical contact it’s a 2-in1-case; only
Radius, Right (OTA the Femur case will be
2R2A3) evaluated.
3. CC 193666 Fracture, Closed, 1.Comminuted femoral ORIF (IM Nail Int), VICENTE
45/M/TSG/PA Comminuted, Middle-Distal shaft fracture Femur, Right
DOI: 24 Mar 3rd, Femur, Right (OTA
2019 32C3) secondary to Fall
4. MD 193847 Fracture, Closed, 1.Volar shear of distal ORIF (Plate), Distal Maybe best for the
53/M/LTC/PA Displaced, Intraarticular, radius, significant Radius, Left Consultant as the
patient is an officer
DOI: 29 Mar Distal Radius, Left (OTA articular displacement
2019 23B2); 2.shortened radial height
3. 5mm Ulnar variance
4.Loss of radial tilt
5. MD 193847 Fracture, Closed, 1.Talar displacement and ORIF (Plate), Maybe best for the
53/M/LTC/PA Complete, Spiral, displaced isolated lateral Lateral Malleolus, Consultant as the
patient is an officer
DOI: 29 Mar Displaced, Lateral malleolus fracture Right
2019 Malleolus, Right (OTA
4F3A)
6. CM 193410 Bimalleolar Fracture 1.Talar displacement and ORIF (Plate), VELASCO
24/M/CS/PA (Lauge Hansen displaced bimalleolar Lateral Malleolus,
DOI: 14 Mar Supination-External fracture Left; ORIF (Screw
2019 Rotation IV) (OTA 44B2.2) vs TBW), Medial
 Malleolus, Left

7. MT 193327 Fracture, Closed, Comminuted tibial shaft CRIF (IM Nail Int), DELOS REYES
29/F/NC/TAS Comminuted, Distal 3rd, fracture Tibia, Left
DOI: 12 Mar Tibia, Left (OTA 42C3)
2019

8. MT 193327 Fracture, Closed, 1.Comminuted lateral ORIF (Plate), Dr. Delos Reyes can
29/F/NC/TAS Comminuted, Lateral malleolar fracture Lateral Malleolus, also do this as part of
the surgical service but
DOI: 12 Mar Malleolus, Left (OTA 44C2) Left not part of the
2019 secondary to MVA Practicals as it’s a 2-in-
1-case; only the Tibial
case will be evaluated
9. RW 193331 Fracture, Closed, 1.Bimalleolar fracture ORIF (Screw TIMTIMAN
31/M/CPL/PA Complete, Displaced, Fixation), Medial
DOI: 4 Mar Medial Malleolus, Left; Malleolus, Left
2019 Fracture, Closed,
Complete, Undisplaced,
Posterior Malleolus, Left
(OTA 44B3) secondary to
Fall

Examiners:
Dr. William T. Lavadia / Dr. Jose Maria R. Coruna / Dr. Julyn A. Aguilar / Dr. Isagani E. Garin

Examinees:
Dr. Bryant B. Bascos
Dr. Eduard Frank Delos Reyes
Dr. Cesar D. Velasco
Dr. Patrick Fidel B. Timtiman
Dr. Ralph Dennis A. Vicente